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MRI showed micro tears and not much choice after thorough research.
My sports doctor mentioned Platelet Rich Plasma injection (PRP), did my homework and went for it in March 2011.
Very painful for me but pain subsided and then almost disappeared within 4-5 weeks. PT + quads strengthening and stretching (the pain will worsen if muscles are tight) ice and common sense helped a lot.
Before the injection, I limped to finish a sprint tri in Sept 2010. Post injection, I Finished a sprint in 1:25:xx with a 23min 5k and most importantly... no pain. (MOP so not great but happy with it after all the trouble)
One year later and 2 Half IM + 1 half marathon I am much better. Now, If I get sloppy and lazy on the stretching, icing or strengthening it hurts a bit but nothing like before.
Hang on man as there is a way out of Pat tendonitis. Patience, your own blood and science are on your side! Feel free to shoot me a question if you want.
Only fools never change their minds and I'll never change my mind about that.
It solved my problem. Make sure you're cleats are well aligned and haven't shifted. I also added Ice, topical anti-inflamatories, and they did Cold Laser/ultrasound on it. I think the laser and ultra sound helped the immediate healing because I could tell if I didn't get in 2 times a week. The comment above is what I credit to the lasting fix. Best of luck. Mine lingered until the off season and then faded away.
Was diagnosed PT a while back. Had to take several weeks off of running. Mine was caused by conjunction of overuse, heel striking and ramping the running mileage too aggressively.
Rest and a black foam roller became my best friends.
Came back to running with new shoes that facilitated mid-foot striking and took it easy for the first couple of weeks. I used the foam roller every day religiously, whether i ran or not. So far, it has not returned.
Good luck and i wish you a speedy recovery.
Get 10!day free and go to programming button and then to episodes. There are drop downs for body part and pick knee and look for episode 91 knee tendinitis and watch 45 minutes. You have tension in system that impacts knee. This will help u understand what is likely going on. The solutions are suggested but require finding right one. For me distraction with pushing on tibia gives my joint better extension.
Also lots of free stuff on YouTube search kelly starrett knee pain and look at short vignettes on terminal knee extension TKE as reference and pick from multitude of shows. YouTube stuff is good but not as good as pay for website.
Mwod also has directory of PTs in your area that could help.
As reference I am 70 and battled since 55 with knees issues & others likely caused by desk job and poor hip flexors and weak glute medius.
Upright health is another good site too.
Definitely got better because of it. Plus seeing the PT helped motivate me better to stick with the rehab exercises. I did the eccentric squats and it helped but was only a temporary help when I returned to running or cycling.